IDA B DISTEFANO
Nursing at W 198 Ter, Miami, FL

License number
Florida 858751
Issued Date
Jan 19, 1987
Effective Date
Aug 19, 2009
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
5435 N 198Th Ter, Miami, FL 33055
2300 N Commerce Pkwy SUITE 308, Fort Lauderdale, FL 33326
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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